Evidence map›Paper›PMID 41912836›Full record

ArticleObesity surgery2026

Real-world Physical Activity and Sedentary Time Trends in Patients Undergoing Obesity Treatment: Insights From the All of Us Research Program.

Samuel D Butensky, Safraz A Hamid, Elena Graetz, Lee Ying, Jennifer S Schwartz, Eric B Schneider, Saber Ghiassi, Karen E Gibbs

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Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Samuel D ButenskyDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA. samuel.butensky@yale.edu.
Safraz A HamidDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Elena GraetzDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Lee YingDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Jennifer S SchwartzDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Eric B SchneiderDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Saber GhiassiDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.
Karen E GibbsDepartment of Surgery, Yale University School of Medicine, New Haven, Connecticut, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMetabolic and bariatric surgery (MBS) and glucagon-like peptide-1 receptor agonists (GLP-1RAs) effectively reduce weight, but outcomes vary widely among individuals. While the effects of physical activity (PA) and sedentary time following obesity treatments are documented, objective wearable data in large, diverse populations remain limited. We aimed to evaluate how objective PA and sedentary time data differs between obesity treatment types and over time among patients treated with semaglutide, sleeve gastrectomy (SG), or Roux-en-Y gastric bypass (RYGB) using the All of Us Research Program.

methodsWe conducted a retrospective analysis of patients aged ≥ 18 years receiving semaglutide, SG, or RYGB. Demographic, clinical, and Fitbit-derived wearable data (step count, sedentary time, active zone minutes and maximum heart rate [HR]) were analyzed using mixed-effects linear models adjusted for demographics, BMI, and comorbidities.

resultsA total of 669 patients were included (581 semaglutide, 65 SG, 23 RYGB). Sedentary minutes significantly decreased across all treatment groups, with RYGB showing the greatest long-term reduction (25% at 5 years). Step counts did not show sustained improvement, with semaglutide and RYGB patients remaining below baseline; SG initially showed 21% increase at 4 years (not significant) that returned to baseline at 5 years. Activity minutes (lightly, fairly, and very active) did not significantly increase over time, and very active minutes declined in the surgical groups, though not significantly. Maximum heart rate increased significantly over time in all groups, with semaglutide showing the largest rise (6% at 5 years).

conclusionAll forms of obesity treatment significantly increase maximum heart rate after intervention, though the effect on other PA metrics is inconsistent and not sustained. Objective data captured via wearable devices have the potential to complement traditional follow-up, though prospective trials are needed to understand how they can be best utilized in the perioperative setting to affect patient activity.

Indexed as

Bariatric SurgeryExerciseObesityObesity, MorbidSedentary BehaviorAdultFemaleGastrectomyGastric BypassGlucagon-Like PeptidesHumansMaleMiddle AgedRetrospective StudiesSemaglutideUnited StatesGlucagon-Like PeptidesSemaglutideBariatric surgeryExerciseGlucagon-like peptide-1 receptorObesity managementPysical activityWearable electronic devices

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.